Mountain State BCBS - Specialty Drug Program

Medmark Specialty Pharmacy is the preferred provider for 70 specialty drugs on the mandatory Medmark Drug List. This specialty drug program is required and applicable to Mountain State Blue Cross Blue Shield lines of business to include Traditional/Indemnity and PPO/POS with the exception of FEP Service Benefit plan. For FEP Service Benefit Plan, Medmark can be used for administrative convenience and is voluntary.

Medmark Specialty Drug Program became mandatory for HHIC Freedom Blue effective 1/1/08. The drugs included in the HHIC Freedom Blue are different than the drugs in the commercial drug program. Please refer to the HHIC Mandatory Drug List and use the HHIC Specialty Drug Request Fax Form below.

Twelve oral cancer drugs are part of the voluntary oral oncology specialty drug program. This oral oncology medication program is voluntary and within the member's prescription drug benefit. This program is not applicable to the FEP Program. This program is intended to reduce member and group prescription benefit costs. Please use the oral oncology prescription form below when ordering these drugs.

Doctor's office faxes the Specialty Drug Request Form to Medmark, which serves as a prescription and authorization.
Medmark obtains an authorization from Mountain State Blue Cross Blue Shield and verifies benefit eligibility with customer service.
Medmark delivers the drug to the doctor's office or the member's home.
Effective January 3, 2005, Medmark bills for the drugs listed on the specialty drug request form. The doctor's office may still bill for the office visit and administration of the drugs in accordance with Mountain State Blue Cross Blue Shield's reimbursement and medical policy.
Medmark has registered nurses and pharmacists available 24 hours a day, 7 days a week to answer questions.
Medmark Inc.
500 Noblestown Rd, Suite 200
Carnegie, PA 15106
Phone: 1-888-347-3416
Fax # 1-877-231-8302

MSBCBS Information

Medmark Mandatory Specialty Drugs

Medmark Voluntary Oncology Drugs Fax Form

Specialty Drug Request Fax Form

HHIC Information

HHIC Medmark Mandatory Specialty Drugs

HHIC Specialty Drug Request Fax Form